Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Other names
New Century Pediatrics Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (EXECUTIVE VICE PRESIDENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-9585
Mailing address
PO BOX 931325, CLEVELAND, OH 44193-1517
(419) 996-5114
(419) 226-9831
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809450
—
OH
Enumeration date
04/30/2007
Last updated
01/13/2022
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